Dental

Our dental plans offer coverage for preventive, basic and major care as well as orthodontia and other services for you and your covered dependents.

compare_arrowsCOMPARE YOUR DENTAL OPTIONS compare_arrowsFIND A NETWORK PROVIDER

Dental HMO

An in-network dentist coordinates your care

  • Coverage is provided by UnitedHealthcare (UHC), underwritten by National Pacific Dental. When you sign up for this plan, you must choose a primary care dentist (PCD). To do that, visit the UHC website, click Find a Dentist and choose TX DHMO as your plan.

  • Your plan fully covers most preventive care, such as routine checkups and cleanings. You and your covered dependents can receive up to two cleanings each 12-month period, free of charge.

  • Generally, there are no deductibles to pay or claim forms to file. You simply pay the set copays when you receive covered services.

  • If you need specialty dental care, your PCD is responsible for completing the necessary paperwork for a referral. For more information, please refer to the specialty referral process.

  • Some services that are done to improve the look of your teeth, such as teeth whitening, may not be covered by your plan.

  • You are covered for dental emergencies. Contact your PCD within 24 hours for emergency care or a referral to an alternate network dentist. Most PCDs have after-hours emergency services. If you can’t reach your PCD or you’re more than 75 miles from your PCD, call UHC for a referral.

  • If you’re out of town and need out-of-network emergency dental care, you must obtain pre-authorization from UHC. You must notify your PCD and, in this case, submit a claim form for reimbursement of the plan amount for relief of pain only.

  • You can use your health care flexible spending account to pay copays.

  • You can change your PCD at any time. You must make the change by the 20th day of the month to have access to your new PCD on the first day of the next month.

Helpful resources

To change your PCD, obtain pre-authorization or find help and information of any kind, call UnitedHealthcare customer care at 800-232-0990, available from 7 a.m. to 10 p.m. daily; visit the UHC website, or check your plan summary document.

Rates per pay period
Based on 24 pay periods
Employee $6.93
Employee + spouse $12.97
Employee + child(ren) $9.85
Employee + family $16.95
Annual deductible
Individual $0
Family $0
Annual benefit maximum
Unlimited
Covered services You pay
check Preventive

$0 - $5

check Basic care

$10 - $80

check Major care

$12 - $300

check Orthodontia
24-month course of treatment: Child $2,100 / Adult $2,200
Dental PPO

See any dentist you like

  • The Dental PPO plan, offered through MetLife, pays preventive care at 100%.
  • You pay a deductible for basic, major and orthodontic care.
  • This plan allows you to visit any dentist you choose.
  • After you meet your deductible, you pay a percentage of covered expenses and MetLife pays the rest.
  • You don't submit claims unless you use an out-of-network provider.
  • You can use your health care flexible spending account to pay deductibles and coinsurance.

Finding a dentist

You can use any dentist you choose; however, your costs are lower if you use an in-network dentist. If you’d like to find an in-network dentist prior to enrolling in this plan, visit MetLife or call MetLife at 800-942-0854.

Helpful resources

For more information or help of any kind, visit MetLife or call 800-942-0854.

Rates per pay period
Based on 24 pay periods
Employee $22.86
Employee + spouse $46.39
Employee + child(ren) $41.60
Employee + family $58.63
Annual deductible
Individual $50
Family $150
Annual benefit maximum
$1,000 Individual
Covered services You pay
check Preventive

$0 

check Basic care

20% of covered expenses after annual deductible 

check Major care

50% of covered expenses after annual deductible 

check Orthodontia
24-month course of treatment: 50% of covered expenses after deductible, up to $1,000 individual lifetime max

Who do you want to cover?

  Dental HMO Dental PPO
Rates per pay period
Based on 24 pay periods $6.93 $22.86
Annual deductible
Individual $0
Family $0
Individual $50
Family $150
Annual benefit maximum
Unlimited $1,000 Individual
Covered services
Preventive

$0 - $5

$0 

Basic care

$10 - $80

20% of covered expenses after annual deductible 

Major care

$12 - $300

50% of covered expenses after annual deductible 

Orthodontia 24-month course of treatment: Child $2,100 / Adult $2,200
24-month course of treatment: 50% of covered expenses after deductible, up to $1,000 individual lifetime max

Find a network provider

For any benefits question or concern, including 24/7 Nurse Line access, one call does it all.
Call us at 866-222-KISD (5473)